先天性心脏病：室间隔嵴下型缺损，左向右分流

383889252

<font color="#0000ff"><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">姓名：黄民成瑞</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">性别：女</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">年龄：</span><span lang="EN-US"><font face="Times New Roman">92</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">天</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">检</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">查</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">号：</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><font color="#000000"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>200610250026</font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">临床科室：儿科</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">来源：门诊</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">住院号：</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">床号：</span><span lang="EN-US"><font face="Times New Roman">
                                        </font></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">临床诊断：待诊</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">检查部位：心脏</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman" color="#000000">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><span lang="EN-US"><p><font face="Times New Roman" color="#000000">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心脏测值</span><span lang="EN-US"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>DOPPLER</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">检查</span><span lang="EN-US"><span style="mso-spacerun: yes;"><font face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></span></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">心功能检查</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font face="Times New Roman" color="#000000">LA<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="16" hasspace="True" negative="False" numbertype="1" tcsc="0">16.0 mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MVE<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span><chmetcnv wst="on" unitname="m" sourcevalue="1.36" hasspace="False" negative="False" numbertype="1" tcsc="0">1.36m</chmetcnv>/s<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EDV<span style="mso-spacerun: yes;">&nbsp; </span>ml</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font face="Times New Roman" color="#000000">LVD <chmetcnv wst="on" unitname="mm" sourcevalue="27.3" hasspace="True" negative="False" numbertype="1" tcsc="0">27.3 mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MVA<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>m/s<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>ESV<span style="mso-spacerun: yes;">&nbsp; </span>ml</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font face="Times New Roman" color="#000000">LVS <chmetcnv wst="on" unitname="mm" sourcevalue="3.9" hasspace="True" negative="False" numbertype="1" tcsc="0">3.9 mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MR<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span>m/s<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EF<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font face="Times New Roman" color="#000000">LVPW <chmetcnv wst="on" unitname="mm" sourcevalue="4.3" hasspace="True" negative="False" numbertype="1" tcsc="0">4.3 mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TR<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>m/s<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>ES<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>%</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font face="Times New Roman" color="#000000">LVOT <chmetcnv wst="on" unitname="mm" sourcevalue="14.2" hasspace="True" negative="False" numbertype="1" tcsc="0">14.2 mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>AV<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span><chmetcnv wst="on" unitname="m" sourcevalue="1.04" hasspace="False" negative="False" numbertype="1" tcsc="0">1.04m</chmetcnv>/s</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font face="Times New Roman" color="#000000">AO<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="14.2" hasspace="True" negative="False" numbertype="1" tcsc="0">14.2 mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>AR<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>m/s</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font face="Times New Roman" color="#000000">AAO<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="9.8" hasspace="True" negative="False" numbertype="1" tcsc="0">9.8 mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>PAV<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp; </span><chmetcnv wst="on" unitname="m" sourcevalue="1.37" hasspace="False" negative="False" numbertype="1" tcsc="0">1.37m</chmetcnv>/s</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font face="Times New Roman" color="#000000">PA<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="9.6" hasspace="True" negative="False" numbertype="1" tcsc="0">9.6 mm</chmetcnv><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>PR<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>m/s</font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font color="#000000"><font face="Times New Roman">RA<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span></font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font color="#000000"><font face="Times New Roman">RV<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="12.9" hasspace="True" negative="False" numbertype="1" tcsc="0">12.9 mm</chmetcnv></font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><font color="#000000"><font face="Times New Roman">RVOT<span style="mso-spacerun: yes;">&nbsp; </span><chmetcnv wst="on" unitname="mm" sourcevalue="19.5" hasspace="True" negative="False" numbertype="1" tcsc="0">19.5 mm</chmetcnv></font></font></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><p><font face="Times New Roman" color="#000000">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><p><font face="Times New Roman" color="#000000">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0;"><span lang="EN-US"><p><font face="Times New Roman" color="#000000">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 84pt; TEXT-INDENT: -52.5pt; mso-char-indent-count: -5.0; mso-para-margin-left: 3.0gd;"><font color="#000000"><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">超声描述：主动脉不宽，主波搏幅尚好，重搏波可见，肺动脉增宽，搏动增强。右室扩大。各心瓣膜尚纤细，二尖瓣活动幅度增大，肺动脉瓣活动曲线</span><span lang="EN-US"><font face="Times New Roman">a</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">波消失，收缩期呈</span><span lang="EN-US"><font face="Times New Roman">w</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">型，运动增强室间隔膜部回声失落，在左室长轴切面，主动脉右冠瓣下方主动脉前壁与室间隔连接处可见连续中断缺损，舒张末期缺损口长径</span><span lang="EN-US"><font face="Times New Roman">9.3mm</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">，彩色多普勒显示：可见异常的穿隔血流，收缩期从左室经室间隔缺损口进入右室，血流束以红色为主，多彩镶嵌。频谱多谱勒显示：取样容积置于缺损口可见收缩期正向高速湍流频谱，左向右分流速度约</span><span lang="EN-US"><font face="Times New Roman">147cm/s</font></span><span style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">。</span><span lang="EN-US"><font face="Times New Roman">&gt;</font></span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 84pt; TEXT-INDENT: -52.5pt; mso-char-indent-count: -5.0; mso-para-margin-left: 3.0gd;"><span lang="EN-US"><p><font face="Times New Roman" color="#000000">&nbsp;</font></p></span></p><p><font color="#000000"><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">超声提示：先天性心脏病：室间隔嵴下型缺损，左向右分流，建议复查。</span></font></p></font><font color="#000000"><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">超声提示：先天性心脏病：室间隔嵴下型缺损，左向右分流，建议复查。</span></font><p><font color="#000000"><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">请问手术费用大概需要多少．</span></font></p>

陆医生

<p>手术费用4万元左右。</p>